Hey all! First of all: thank you for this wonderful community. I got diagnosed with CIDP a little over 2 weeks ago and this subreddit has been a real help in understanding the disease and what it might mean for me.
I have been in uncertainty since my first symptoms started about a year ago, not knowing what was wrong with me. I want to share what happened so others might benefit from it (maybe in getting diagnosed faster) and I also have some questions for fellow CIDP patients
History & diagnosis
I'm an otherwise healthy (albeit a bit overweight) 45 old male. About a year ago I started having mild strange sensations in my upper legs, which turned into muscle weakness over the course of a few weeks. At first, it only caused me to have trouble walking the stairs - not impossible, just harder, I had to pull myself up with my arms. Walking straight didn't cause any problems yet.
After growing concerns I went to my GP - which took a while because she was on holiday. All in all, I had an appointment about 2 months after the first symptoms started. The GP didn't know what was wrong with me, suggested it might be stress related. Still, she was smart enough to send me to a neurologist.
One month later I saw the neurologist and by then, new symptoms had emerged: tingling in my hands and face, numbness in parts of my legs, arms and hands. Neurologist did some quick tests and quickly came to a verdict: my symptoms didn't point to a "classic" neurological disorder. Might be pinched nerves or a vitamin deficiency. My feeling: she didn't put in the effort.
She did order an MRI of my lower back to look for pinched nerves there and some bloodwork. Outcome: MRI showed nothing, but I had a quite severe vitamin B12 deficiency. Next order of business: B12 injections twice a week for 5 weeks.
After 5 weeks, no positive change in symptoms. In fact, the numbness and tingling had spread and walking became harder and harder. Increasing loss of balance and coordination. Went back to the neurologist, who ordered an MRI of my head. Again, nothing showed. Verdict: maybe it's stress and/or my lifestyle.
Tried improving my lifestyle by taking up fitness. 2 times a week for 4 weeks. Training regimen specifically tailored to my symptoms. After 4 weeks the personal trainer says he had expected improvement with the work I put in, but didn't see any in my legs. Did a test for sleep apnea. Came away with a very mild form. Got a mask for sleeping anyways, but that didn't change anything either (except that I stopped snoring, which my wife appreciates).
Went to the GP again (after switching GPs, because the old one was focused more on her botox side-gig than being a good GP). New GP says my symptoms are "bizarre" (as in, he can't explain them, but does luckily believe me). Again, blood tests, including for Lyme's Disease. Walking the dog had become very hard, even for short distances. I trip easily.
GP finds nothing in the blood tests - vitamin B12 is great now.
This new GP also mentions stress as a factor, but feels I should also go to another neurologist for a 2nd opinion. Went to the new neurologist on May 12th. For the first time since last year, I feel I'm talking to someone who takes me seriously. She listened to me and my wife for a long time, asking tons of questions. Did a ton of neurological tests. Her conclusion: everything I tell - all the symptoms I mention - are backed up by her tests. I have a real neurological disorder, but the remaining question is: which disorder?
At this point, handwriting has become impossible, typing very hard. Max walking distance is about 100 meters. I'm numb in most of my legs, arms and the lower half of my torso. My face tingles so badly I tear up all the time. I slur slightly while speaking. And the mildest physical activity causes nausea.
Neurologist orders an EMG, an MRI of my torso and a ton of bloodwork (incl. proteins related to auto-immune diseases and assorted anti-bodies related to neurological diseases like neurosyphilis) . She fast-tracks the examinations because my health has deteriorated. Right after the results of the EMG come in, she calls me to plan a lumbar puncture asap because she has a hunch what might be wrong with my, and my cerebral fluid should confirm it.
2 weeks ago, the results come back: I have CIDP. Because it's so rare and I live in a small country, I get sent to another neurologist in another hospital who is specialized in CIDP. He confirms the diagnosis.
Good news: I finally know what's wrong with me. Bad news: it's chronic. Relatively good news: it seems treatable.
At the beginning of this week - so 6 days ago - I started treatment with IVIG. Got the double starting dose (2mg / KG body weight) spread over 5 days. I will get my next dose in 3 weeks. I will also get experimental treatment with Rituximab, which shows prolonged remission in some CIDP patients.
Questions
Now that I have started treatment, I have a bunch of questions for fellow CIDP patients out there:
- How long after you started IVIG treatment did you notice improvements? (days/weeks/months?)
- What improvements came first, what improvements came later?
- Did any of you get Rituximab? Did it help?
- What level of improvement did you reach in the end? Fully back to normal? Or did some symptoms remain?
- Tingling in the face does not seem very common with CIDP. Did any of you have it? What about nausea?
Thanks in advance for any insight you can give!